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1437188570
PREMIER MEDICAL PRACTICE
MARKSVILLE, LA
NPI
1437188570
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Entity Type
Organization
Authorized Contact
ANTHONY MARK B. AMIGO
Physician
318-253-5647
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA 11268R)
Enumeration Date
2006-07-01
Last Update Date
2020-08-22
Business Address
PREMIER MEDICAL PRACTICE
338 MOREAU ST
MARKSVILLE, LA 71351-2956
Phone number: 318-253-5647
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Mailing Address
PREMIER MEDICAL PRACTICE
338 MOREAU ST
MARKSVILLE, LA 71351-2956
Phone number: 318-253-5647
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